OCT + 시야검사 결과로 보는 녹내장 초기 신호와 눈 건강 관리법

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눈의 건강은 한 번 손상되면 회복이 어렵습니다. 그래서 정기적인 OCT 검사 와 시야검사 는 매우 중요합니다. 이번 글에서는 실제 환자분의 검사 예시를 통해 시신경 손상의 초기 변화와 관리법 을 알기 쉽게 설명드리겠습니다. 🔍 OCT(빛간섭단층촬영) 검사란? OCT 검사는 망막과 시신경의 구조를 단층(층별) 으로 촬영하는 검사입니다. 눈 속 신경층의 두께, 황반 중심부의 형태, 망막 부종 여부 등을 세밀하게 확인할 수 있어 녹내장, 황반변성, 당뇨망막병증 같은 질환의 조기 발견에 매우 유용합니다. 검사 시간: 약 5분 통증: 없음 결과 확인: 바로 가능 disc OCT(오른쪽) disc OCT(왼쪽)   OCT(빛간섭단층촬영) 검사 결과 설명 🔹 1. 검사 개요 OCT 검사는 망막(눈 안쪽의 신경막)과 황반(시력의 중심부)을 단층 촬영 해서, 눈 속 구조의 미세한 변화를 관찰하는 검사입니다. 즉, 망막이 얼마나 두꺼운지 , 부종이나 손상이 있는지 , 황반 중심이 정상인지 를 보는 검사예요. 🩺 오른쪽 눈 (R) 망막 두께(Macular Thickness): 약간 얇아진 부위 가 있습니다. 황반 중심(Fovea): 형태는 전반적으로 유지되어 있지만, 중심부의 미세한 손상 흔적 이 보입니다. 망막층 구조: 일부 내층(Inner layer) 이 얇아져 있으며, 이는 혈류 감소나 시신경 손상 초기 에서 보일 수 있는 소견입니다. 시세포층(Photoreceptor layer): 대체로 보존되어 있지만, 경계가 약간 흐릿한 부분 이 있어, 시야 흐림이나 중심 시력 저하 를 유발할 가능성이 있습니다. ➡️ 정리: 현재 심한 황반변성이나 망막박리 같은 질환은 보이지 않지만, 시신경 또는 황반 중심부의 기능 저하 초기 로 보입니다. 따라서 정기적인 경과 관찰 과 혈류 개선제 또는 안구 순환 개선 약물 복용이 도움이 됩니다. 🩺 왼쪽 눈 (L) 망막 두께: 오른쪽보다 약...

The Relationship Between Lens Power and Thickness: A Comprehensive Guide


Introduction

When selecting prescription eyeglasses, one of the most important factors to consider is lens thickness. Many people are concerned about how thick their lenses will be, especially if they have a high prescription. Understanding the relationship between lens power and thickness can help you make informed decisions when choosing the right lenses for your vision needs. In this guide, we will explore how lens power affects thickness, factors influencing lens thickness, and how to minimize it with the right choices.

How Lens Power Affects Thickness

1. Understanding Lens Power (Diopters)

Lens power is measured in diopters (D), which indicate the degree of correction needed to improve vision. The higher the prescription strength, the more the lens needs to bend light to focus properly on the retina.

  • Negative (-) lenses correct nearsightedness (myopia) and are concave, meaning they are thinner at the center and thicker at the edges.

  • Positive (+) lenses correct farsightedness (hyperopia) and are convex, meaning they are thicker at the center and thinner at the edges.

  • Astigmatism correction lenses have varying thickness across different meridians due to their toric shape.

2. The Relationship Between Power and Thickness

As lens power increases, thickness also increases. Here’s how:

  • Higher negative prescriptions require more material at the edges, making the lenses look thicker.

  • Higher positive prescriptions require a thicker center to provide the necessary curvature for proper vision correction.

  • Cylindrical prescriptions (for astigmatism) may add to lens thickness depending on the axis and degree of correction needed.

Factors That Influence Lens Thickness

Even with a strong prescription, other factors contribute to how thick a lens appears:

1. Lens Material

Different materials have different refractive indices, which determine how efficiently they bend light.

  • Standard plastic (CR-39): Index ~1.50 (Thicker)

  • Polycarbonate: Index ~1.59 (Thinner than CR-39)

  • High-index plastic: Index 1.60 to 1.74 (Thinnest options available)

A higher refractive index allows the lens to bend light more efficiently, meaning less material is needed, reducing overall thickness.

2. Lens Design

  • Aspheric lenses: Unlike traditional spherical lenses, aspheric lenses have a flatter design, reducing thickness and minimizing distortions.

  • Freeform and digital lenses: These advanced lenses provide improved optics and thinner edges.

3. Lens Diameter

A smaller lens diameter means less material is required, leading to a thinner appearance. Opting for smaller frames can significantly reduce thickness.

4. Pupillary Distance (PD)

PD is the distance between your pupils. If a lens is not centered properly, it may need additional thickness to correct optical alignment.

5. Frame Selection

The type of frame you choose can impact perceived thickness:

  • Full-rim frames hide the edges of thicker lenses.

  • Rimless or semi-rimless frames expose the lens edges, making thickness more noticeable.

  • Smaller, round frames help minimize lens thickness compared to large or rectangular frames.

How to Minimize Lens Thickness

If you have a strong prescription but want to keep lenses as thin as possible, consider the following tips:

  1. Choose high-index lenses: The higher the index, the thinner the lens.

  2. Pick smaller frames: Less lens material reduces edge thickness.

  3. Opt for aspheric lenses: Flatter designs cut down bulkiness.

  4. Consider polycarbonate or Trivex: These materials offer a balance of thinness and durability.

  5. Ensure accurate pupillary distance measurement: Proper alignment reduces unnecessary lens thickness.

  6. Avoid oversized frames: The larger the frame, the thicker the edges in high prescriptions.

Conclusion

Understanding the relationship between lens power and thickness is crucial when selecting the right eyeglasses. While stronger prescriptions naturally result in thicker lenses, advancements in lens materials, designs, and frame choices can help minimize bulkiness. By opting for high-index materials, aspheric designs, and smaller frames, you can achieve thinner, more aesthetically pleasing glasses without compromising vision quality. Whether you have mild or severe refractive errors, making informed choices ensures both comfort and style in your eyewear selection.